Sister Servants of Christ the King Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1165 Issued in WI

Legal business name

SISTER SERVANTS OF CHRIST THE KING INC

Doing business as

Villa Loretto

Practice address

N8114 County Road WW
Mount Calvary, WI 53057-9525

Phone

(920) 753-3211

Fax

(920) 753-3100

NPI assigned

Jun 23, 2005

Last updated

Jun 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Jennifer Mabry, NHA

Title

Administrator

Phone

(920) 753-3211

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Villa Loretto Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Agnesian Healthcare Inc

  dba SSM Health Fond Du Lac Regional Clinic

  • Family Medicine Physician
  • Fond Du Lac, WI
  • NPI 1730162991

  Member Of

  NPD member
• SSM Health Care of Wisconsin, Inc

  dba SSM Health St Mary's Hospital - Madison

  • Psychiatric Hospital Unit
  • Madison, WI
  • NPI 1386688240

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1801892997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N8114 COUNTY RD WW",
            "city": "MOUNT CALVARY",
            "state": "WI",
            "postal_code": "530579607",
            "telephone_number": "920-753-3211",
            "fax_number": "920-753-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N8114 COUNTY ROAD WW",
            "city": "MOUNT CALVARY",
            "state": "WI",
            "postal_code": "530579525",
            "telephone_number": "920-753-3211",
            "fax_number": "920-753-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTER SERVANTS OF CHRIST THE KING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "MABRY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-753-3211",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "1165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20158200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Loretto",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Consultants Laboratory of Wisconsin, LLC
• Adam Joseph Jodocy
• Mount Calvary Ambulance Service Inc
• Mt Calvary Dental LLC
• Stephanie Ann Schumacher
• Angela Lynn Steffes, R.N.
• Jeffrey A Strong, MD
• Maria Therese Weeks, MS, MA, LPC-IT

• Skilled Nursing Facility in Mount Calvary, WI
• Providers in Mount Calvary, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.